IRSR
Issue, Research, Solution, Root Cause
What does IRSR stand for?
Highest to lowest, oldest to newest
What is the order to work my ATWT?
What is the Insurance tab?
DOB
11
What is an Office Visit Code?
A description of the original reason this claim needed to be worked
What is the Root Cause?
Filters, Dollar Stratification, and Import date
How do I reset my ATWT?
When a line is still posting and in grey
What is Fuzzy Money?
EOB
What is Explanation of Benefits?
12
What is a Home Visit code?
Auth, COB, DME, DOS, POS, and WC
What are Acceptable Abbreviations?
Pulling up multiple account numbers at once to work a SS.
What is an Advanced Search?
A claim containing a resubmission code and the original ICN number.
What is a Corrected Claim?
Tx
What is Transplant?
21
What is an Inpatient Hospital code?
Claim number, paid amount, check number, and issue date
What should be included for full payment information?
Admin/Tools, Auditor Performance
How do I check my numbers/claims worked today?
The pop up screen confirming if a claim has any errors or can be sent to payer.
What is Claim Production Status?
CARF
What is Claim Action Request Form?
22
What is an Outpatient Hospital code?
Working ATB, Working Project, and Personal Email
What are unacceptable entries for Issue?
Pending out 8 Days.
Under the created column of the transaction tab on the last CPT line.
Where is the most recent edit date on an enc?
AOL
What is AHCCCS Online?
23
What is an Emergency Room Hospital code?